USULAN PENGADAAN PEDIDIKAN

DAN TENAGA KEPENDIDIKAN TAPEL 2012/2013

(PEG-2)

SD ISLAM WALISONGO
BRONDONG – LAMONGAN
TERAKREDITASI “A”
Alamat : Jl Raya No. 99 Brondong Lamongan (62263) Telp. 0322-661148
 Format : PEG - 2 Nomor Statistik Sekolah

1 0 1 0 5 0 7 1 8 0 2 7

NAMA SEKOLAH : ....................................................................................................................................

STATUS SEKOLAH : ....................................................................................................................................
ALAMAT SEKOLAH : ....................................................................................................................................
- Desa / Kelurahan *) : ....................................................................................................................................
- Kecamatan : ....................................................................................................................................
- Kab. Kodia DATI II*) : ....................................................................................................................................
- Propinsi DATI I : ....................................................................................................................................

USULAN PENGADAAN PENDIDIKAN DAN TENAGA KEPENDIDIKAN TAHUN PELAJARAN 20.../20...

No Jenis Komponen Keadaan Sekarang Kebutuhan Tambahan Keterangan

1 2 3 4 5 6
I Data Penunjang
a. Jumlah murid ........................................anak ................................................. .................................................
b. Jumlah kelas/rombongan belajar .......................................kelas . .
Data pendidik & Tenaga Kependidikan ................................................ ................................................
a. Kepala Sekolah
b. Guru Kelas
..................................................
c. Guru Agama
................................................
d. Guru Olahraga ................................................
e. Guru Kesehatan ................................................ ................................................. .................................................
f. Guru Matematika ................................................ . .
g. Guru Mulok ................................................ ................................................ ................................................
h. Tata Usaha ................................................ ................................................ ................................................
i. Penjaga Sekolah ................................................ ................................................
................................................ ................................................
................................................ ................................................
................................................ ................................................

Brondong, ....................................
Kepala Sekolah

NURIL HUDA, S.Pd